WATER'S EDGE DENTAL PLLC (NPI# 1316501166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316501166 |
| Entity Type | Organization |
| Organization Name | WATER'S EDGE DENTAL PLLC |
| Practice Address |
1244 Wrights Ln West Chester PA 19380-4227 |
| Practice Telephone | 6106966070 |
| Practice Fax Number | 4849472746 |
| Mailing Telephone | 6106966070 |
| Mailing Fax Number | 4849472746 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | DR. ANDREW M ROSEN (DENTIST) |
| Authorized Official Telephone | 6106086808 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Water's Edge Dental PLLC | Doing Business As Name - Organization |
| Street Address |
1244 WRIGHTS LN |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861968430 | Eric Endres | Dentist | 709 E Gay St Ste 3, West Chester, PA 19380-4567 | 2018-10-22 |
| 1619405578 | Kaizen Family Dental | Dentist | 7789 Cox Ln, West Chester, OH 45069-6549 | 2017-05-23 |
| 1437506144 | Joseph Zaino | Dentist | 200 Willowbrook Ln Ste 220, West Chester, PA 19382-5697 | 2016-05-23 |
| 1134510241 | Catharine Alger | Dentist | 600 E Marshall St Ste 204, West Chester, PA 19380-4453 | 2015-02-10 |
| 1659781185 | Benedict Parenti | Dentist | 162 Painters Xing, West Chester, PA 19382-8310 | 2014-05-06 |
| 1477822013 | Udc of West Chester, LLC | Dentist | 9464 Civic Centre Blvd, West Chester, OH 45069 | 2011-12-28 |
| 1851619373 | James Chiu | Dentist | 187 Lydia Ln, West Chester, PA 19382-6140 | 2010-05-07 |
| 1396976932 | Kristin Rochelle Abbas | Dentist | 5900 West Chester Road, Suite A, West Chester, OH 45069 | 2009-07-30 |
| 1417121575 | John E Spellman | Dentist | 227 W Miner St, West Chester, PA 19382-2924 | 2008-04-18 |
| 1477745388 | Jae Woo Kim | Dentist | 403 N Five Points Rd, West Chester, PA 19380-4632 | 2007-08-14 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
Please comment or provide details below to improve the information on WATER'S EDGE DENTAL PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.